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[Federal Register Volume 89, Number 248 (Friday, December 27, 2024)]
[Notices]
[Pages 105607-105608]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2024-30853]

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifiers: CMS-359/CMS-360]

Agency Information Collection Activities: Proposed Collection; 
Comment Request

AGENCY: Centers for Medicare & Medicaid Services, Health and Human 
Services (HHS).

ACTION: Notice.

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SUMMARY: The Centers for Medicare & Medicaid Services (CMS) is 
announcing an opportunity for the public to comment on CMS' intention 
to collect information from the public. Under the Paperwork Reduction 
Act of 1995 (PRA), Federal agencies are required to publish notice in 
the Federal Register concerning each proposed collection of information 
(including each proposed extension or reinstatement of an existing 
collection of information) and to allow 60 days for public comment on 
the proposed action. Interested persons are invited to send comments 
regarding our burden estimates or any other aspect of this collection 
of information, including the necessity and utility of the proposed 
information collection for the proper performance of the agency's 
functions, the accuracy of the estimated burden, ways to enhance the 
quality, utility, and clarity of the information to be collected, and 
the use of automated collection techniques or other forms of 
information technology to minimize the information collection burden.

DATES: Comments must be received by February 28, 2025.

ADDRESSES: When commenting, please reference the document identifier or 
OMB control number. To be assured consideration, comments and 
recommendations must be submitted in any one of the following ways:
    1. Electronically. You may send your comments electronically to 
http://www.regulations.gov. Follow the instructions for ``Comment or 
Submission'' or ``More Search Options'' to find the information 
collection document(s) that are accepting comments.
    2. By regular mail. You may mail written comments to the following 
address: CMS, Office of Strategic Operations and Regulatory Affairs, 
Division of Regulations Development, Attention: Document Identifier/OMB 
Control Number:__, Room C4-26-05, 7500 Security Boulevard, Baltimore, 
Maryland 21244-1850.
    To obtain copies of a supporting statement and any related forms 
for the proposed collection(s) summarized in this notice, please access 
the CMS PRA website by copying and pasting the following web address 
into your web browser: https://www.cms.gov/Regulations-and-Guidance/Legislation/PaperworkReductionActof1995/PRA-Listing

FOR FURTHER INFORMATION CONTACT: William N. Parham at (410) 786-4669.

SUPPLEMENTARY INFORMATION:

Contents

    This notice sets out a summary of the use and burden associated 
with the following information collections. More detailed information 
can be found in each collection's supporting statement and associated 
materials (see ADDRESSES).

CMS-359/CMS-360 Comprehensive Outpatient Rehabilitation Facility (CORF) 
Certification and Survey Forms

    Under the PRA (44 U.S.C. 3501-3520), Federal agencies must obtain 
approval from the Office of Management and Budget (OMB) for each 
collection of information they conduct or sponsor. The term 
``collection of information'' is defined in 44 U.S.C. 3502(3) and 5 CFR 
1320.3(c) and includes agency requests or requirements that members of 
the public submit reports, keep records, or provide information to a 
third party. Section 3506(c)(2)(A) of the PRA requires Federal agencies 
to publish a 60-day notice in the Federal Register concerning each 
proposed collection of information, including each proposed extension 
or reinstatement of an existing

[[Page 105608]]

collection of information, before submitting the collection to OMB for 
approval. To comply with this requirement, CMS is publishing this 
notice.

Information Collections

    1. Type of Information Collection Request: Reinstatement with 
change of a previously approved information collection; Title of 
Information Collection: Comprehensive Outpatient Rehabilitation 
Facility (CORF) Certification and Survey Forms; Use: This information 
collection is for the reinstatement of the CMS-359 and CMS-360 forms. 
The purpose of these forms is described below. The form CMS-359 is an 
application for health care providers that seek to participate in the 
Medicare program as a Comprehensive Outpatient Rehabilitation Facility 
(CORF). The form initiates the process for facilities to become 
certified as a CORF and it provides the CMS Location and State Survey 
Agency (SA) staff identifying information regarding the applicant that 
is stored in the Automated Survey Processing Environment (ASPEN) 
system.
    The form CMS-360 is a survey tool used by the SAs to record 
information in order to determine a provider's compliance with the CORF 
Conditions of Participation (COPs) and to report this information to 
the Federal Government. The form includes basic information on the COP 
requirements, check boxes to indicate the level of compliance, and a 
section for recording notes. CMS has the responsibility and authority 
for certification decisions which are based on provider compliance with 
the COPs and this form supports this process. Form Number: CMS-359/360 
(OMB control number: 0938-0267); Frequency: Occasionally; Affected 
Public: Private Sector (Business or other for-profits); Number of 
Respondents: 179; Number of Responses: 31; Total Annual Hours: 241. 
(For questions regarding this collection contact Caroline Gallaher 
(410)786-8705.)

William N. Parham, III,
Director, Division of Information Collections and Regulatory Impacts, 
Office of Strategic Operations and Regulatory Affairs.
[FR Doc. 2024-30853 Filed 12-26-24; 8:45 am]
BILLING CODE 4120-01-P
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